Shira Berry, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056013983 Issued in IL

Practice address

2605 W 79TH PL
Chicago, IL 60652-1748

Phone

(773) 719-3221

NPI assigned

Feb 8, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1285226555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 W 79TH PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521748",
            "telephone_number": "773-719-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 W 79TH PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521748",
            "telephone_number": "773-719-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "SHIRA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056013983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennette Latrese Berry, M.D.
• Kelsey Elizabeth Berry, MD
• Krystyna Helena Berry, M.D.
• Meaghan Rose Berry, LCSW
• Melinda D Berry, LCSW
• Tatianna Berry
• Vince Earl Berry, MD
• Bianca Ann Berryhill
• Kyle Bersted, PH.D.
• Kristen E. Bert, DO

• Occupational Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.